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Mental health nurses’ attitudes, experience, and knowledge regarding routine physical healthcare: systematic, integrative review of studies involving 7,549 nurses working in mental health settings
BMC Nursing ( IF 3.1 ) Pub Date : 2019-04-26 , DOI: 10.1186/s12912-019-0339-x
Geoffrey L Dickens 1, 2 , Robin Ion 3 , Cheryl Waters 1 , Evan Atlantis 1 , Bronwyn Everett 1
Affiliation  

There has been a recent growth in research addressing mental health nurses’ routine physical healthcare knowledge and attitudes. We aimed to systematically review the empirical evidence about i) mental health nurses’ knowledge, attitudes, and experiences of physical healthcare for mental health patients, and ii) the effectiveness of any interventions to improve these aspects of their work. Systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Multiple electronic databases were searched using comprehensive terms. Inclusion criteria: English language papers recounting empirical studies about: i) mental health nurses’ routine physical healthcare-related knowledge, skills, experience, attitudes, or training needs; and ii) the effectiveness of interventions to improve any outcome related to mental health nurses’ delivery of routine physical health care for mental health patients. Effect sizes from intervention studies were extracted or calculated where there was sufficient information. An integrative, narrative synthesis of study findings was conducted. Fifty-one papers covering studies from 41 unique samples including 7549 mental health nurses in 14 countries met inclusion criteria. Forty-two (82.4%) papers were published since 2010. Eleven were intervention studies; 40 were cross-sectional. Observational and qualitative studies were generally of good quality and establish a baseline picture of the issue. Intervention studies were prone to bias due to lack of randomisation and control groups but produced some large effect sizes for targeted education innovations. Comparisons of international data from studies using the Physical Health Attitudes Scale for Mental Health Nursing revealed differences across the world which may have implications for different models of student nurse preparation. Mental health nurses’ ability and increasing enthusiasm for routine physical healthcare has been highlighted in recent years. Contemporary literature provides a base for future research which must now concentrate on determining the effectiveness of nurse preparation for providing physical health care for people with mental disorder, determining the appropriate content for such preparation, and evaluating the effectiveness both in terms of nurse and patient- related outcomes. At the same time, developments are needed which are congruent with the needs and wants of patients.

中文翻译:

心理健康护士对常规身体保健的态度、经验和知识:对涉及 7,549 名在心理健康机构工作的护士的研究进行系统综合评价

最近,针对心理健康护士的常规身体保健知识和态度的研究有所增长。我们旨在系统地回顾关于 i) 心理健康护士对心理健康患者的身体保健的知识、态度和经验,以及 ii) 任何干预措施对改善他们工作的这些方面的有效性的经验证据。根据系统评价和元分析指南的首选报告项目进行系统评价。使用综合术语搜索了多个电子数据库。纳入标准:英语论文讲述以下方面的实证研究: i) 心理健康护士的常规身体保健相关知识、技能、经验、态度或培训需求;ii) 干预措施的有效性,以改善与心理健康护士为心理健康患者提供常规身体健康护理相关的任何结果。在有足够信息的情况下,提取或计算干预研究的效应量。对研究结果进行了综合的叙述性综合。涵盖来自 14 个国家的 7549 名心理健康护士在内的 41 个独特样本的 51 篇论文符合纳入标准。自 2010 年以来发表了 42 篇 (82.4%) 论文。11 篇是干预研究;40个是横截面的。观察性和定性研究通常质量良好,并建立了该问题的基线图景。由于缺乏随机分组和对照组,干预研究容易产生偏见,但对有针对性的教育创新产生了一些较大的影响。对使用心理健康护理身体健康态度量表的研究进行的国际数据比较揭示了世界各地的差异,这可能对不同的学生护士准备模式产生影响。近年来,精神卫生护士的能力和对常规身体保健的热情日益突出。当代文献为未来的研究提供了基础,现在必须集中精力确定护士准备为精神障碍患者提供身体保健的有效性,确定此类准备的适当内容,评估护士和患者相关结果的有效性。同时,需要与患者的需要和需要相一致的发展。
更新日期:2019-04-26
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